Sports Medicine at Chelsea, PLLC.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

2247351 Issued in NY

Legal business name

SPORTS MEDICINE AT CHELSEA, PLLC.

Practice address

30 W 24TH St FL 2
New York, NY 10010-3560

Phone

(212) 366-5100

Fax

(212) 366-6275

NPI assigned

Aug 11, 2006

Last updated

Feb 22, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Clifford D Stark, D.O.NPI 1174564330

Title

Medical Director

Phone

(212) 366-5100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clifford Stark, D.O.

  • Sports Medicine (Family Medicine) Physician
  • New York, NY
  • NPI 1174564330
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1144231226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W 24TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103560",
            "telephone_number": "212-366-5100",
            "fax_number": "212-366-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W 24TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103560",
            "telephone_number": "212-366-5100",
            "fax_number": "212-366-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MEDICINE AT CHELSEA, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-366-5100",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NY",
            "license": "2247351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna-Carina Sporri, MS, RD, CDN
• Robert Jason Sporter, MD
• Sports & Orthopedic Surgery of New York, PLLC
• Sports Injuries & Arthritis Surgery, PC
• Sports Medicine at Chelsea
• Sports Physical Therapy Occupationa Therapy and Rehabilitation Servic
• Sports Physical Therapy Occupationa Therapy and Rehabilitation Servic (Sports Therapy and Rehabilitation Services)
• Sports Physical Therapy Occupationa Therapy and Rehabilitation Servic
• Sports Physical Therapy Occupational Therapy and Rehabilitation Servic (Sports Therapy and Rehabilitation Services)
• Sports Rehab Nyc Corp

• Sports Medicine (Family Medicine) Physician in New York, NY
• Providers in New York, NY by specialty
• Sports Medicine (Family Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.